Individual
MRS. MARYANN LAROCQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 OAKLAND DR, KALAMAZOO, MI 49008-1205
(269) 337-4020
Mailing address
1312 OAKLAND DR, KALAMAZOO, MI 49008-1205
(269) 337-4020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006419
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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